Programa de Pós-graduação em Saúde Coletiva

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Navegando Programa de Pós-graduação em Saúde Coletiva por Assunto "Acesso aos serviços de saúde"

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    Acesso e acolhimento inseridos no processo de trabalho da atenção básica à saúde
    (Universidade Federal de Goiás, 2017-09-15) Castro, Lorena Peres; Almeida, Nilza Alves Marques; http://lattes.cnpq.br/2486258562480055; Souza, Marta Rovery de; http://lattes.cnpq.br/115504257912315; Souza, Marta Rovery de; Barros, Patrícia de Sá; Veronezi, Rafaela Júlia Batista
    Introduction: Access to and acceptance of spontaneous demand in basic health units (UBS) are fundamental strategies of the work process in health, quality assurance and strengthening of Basic Health Care (ABS). Objective: To characterize the work process of the health teams related to the access and reception of the users in the UBS of the State of Goiás, through a national survey of evaluation of Primary Care carried out by the Ministry of Health (MS). Methodology: This is a descriptive, quantitative approach whose results were generated from secondary data extracted from the Bank of the External Evaluation component of the second cycle of the National Program for Improving Access and Quality of Basic Care (PMAQAB). The data were collected between December 2013 and March 2014 and represent a sample composed of 975 basic health units and 1180 family health teams from 242 municipalities that joined the PMAQ-AB in the State of Goiás. It was possible to characterize and discuss the health work process related to the access and reception, under two axes of analysis: characterization of the access to health services of the basic health units and systematization of the reception to the spontaneous demand of users attended by family health teams. Results: With regard to access to UBS in Goiás, only 9.8% work on Saturdays and 2.7% open during the night; 99.6% of the family health teams make a face-to-face appointment, and 43.5% refer to appointments on a first-come, first-served basis. With regard to the reception, 97.6% of the family health teams host the spontaneous demand, but the majority (57.4%) in the waiting room; 89.7% report risk and vulnerability assessment, but 25.7% were not qualified for such assessment; 4.5% do not provide urgent and emergency care and 43.6% of the teams said they did not have protocols to meet spontaneous demand. Final considerations: The analysis of the results allows to conclude that in relation to access to basic health units, there are weaknesses that should be reassessed by health unic system (SUS) management instances, such as: limited appointment marking system, pre-scheduled appointments, hours of operation of the predominantly commercial units, reservation of vacancies in the health professional's appointment book for continued care and absence of professionals in the health teams. Regarding the reception, in spite of the fact that most health teams affirm it, the results indicate that its systematization is under construction in the State of Goiás, constituting obstacles and advances that qualify the reception.
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    Atenção básica em saúde bucal em Goiás
    (Universidade Federal de Goiás, 2016-05-31) Nascimento, Renata do; Souza, Marta Rovery de; Souza, Marta Rovery de; Pereira, Edsaura Maria; Mohn Neto, Carlos Rodolfo
    Introduction: from the creation and implementation of the National Oral Health Policy in 2004, there has been a noticeable increase in access to public dental care. However, there are still major challenges to improving access and quality to dental services. Objective: To describe the organization of basic dental care in Goiás in 2012. Methodology: this is a descriptive study that analyzed the secondary data extracted from external evaluation component of the bank's National Program for Improving Access and Primary Care Quality (PMAQ-AB), first cycle, between September and October 2012. The sample consisted of 540 oral health teams (eSB) that responded to the questionnaire PMAQ-AB, located in 174 municipalities and distributed in 17 health regions (RS). Results: among the eSB, 42% conducted the scheduling of the population on any given day and time; over 80% conducted all dental procedures; 96.6% said that there is reception to spontaneous demands; 54% reported that there is a Dental Speciality Center of reference for the routing of the population in need of such care. The highest percentages of eSB which claimed to have a reference CEO were in the RS Environs South (96.6%), Serra da Mesa (92.3%) and Southwest II (81%). No team of RS Northeast I and II Northeast had CEO to reference. In the RS Red River, 90.9% of eSB affirmed not have a CEO for reference, the same occurred in the RS Railway in which 85.2% of the teams have nowhere to refer patients in need of care in dental specialties. Final Considerations: The Oral Health Care Network of the state of Goiás is still incipient. The future challenge is the consolidation of a regionalized Oral Health Care Network, where primary care is the major focus of attention.